2-day-old baby operated for complex heart problem in Mangaluru

[email protected] (CD Network)
February 8, 2017

Managluru, Feb 8: A 2-days old baby weighing 2.3 kgs was admitted to the NICU at A.J. Hospital & Research Centre in the city in Jan 2017. The baby was diagnosed with transposition of great arteries in the 5th month of pregnancy when a foetal Echo was performed by Dr Prem Alva, Children's Heart Specialist at AJ hospital, Mangaluru.

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This is a condition where the 2 major blood vessels leaving the heart are connected to the wrong chambers of the heart thus the blood containing oxygen which is required to nourish the body goes back into the lungs instead, requiring urgent surgery.

Even though this condition accounts for approximately 5% of all children born with heart diseases, it is one of the few conditions that require surgery immediately after birth.

The parents counseled by Dr Gourav S Shetty Children's Heart Surgeon at AJ Hospital, Mangalore who has performed more than 200 surgeries of children over a period of 2 years in AJ Hospital explained why this procedure was complex and needed expertise.

It was carried out on a heart smaller than an egg, the 2 major arteries smaller than a little finger and the vessels supplying blood to the heart smaller than ball point refill, all these abnormally coming from the heart needed to be corrected.

After a successful surgery by Dr Gourav S Shetty & his team, Dr Gururaj Tantry,Chief Cardiac Anesthetist & Intensivist, Dr Suhas Anesthetist and his team then successfully managed the baby in ITU.

The baby was discharged on the 7th day from hospital. Follow up was a week later with a healthy baby and very happy parents.

A.J. Hospital & Research Centre is the only Centre in coastal region which has the expertise to conduct such complex surgeries even on the new borns.

Comments

Nawaz.g.h/bantwal
 - 
Thursday, 9 Feb 2017

Congratulation dr prem alwa.and dr gourav shetty..every one pray for him..allah bless u.

Dr.Shafeeq
 - 
Wednesday, 8 Feb 2017

Dr.Gourav, I am proud to be your classmate
Congratulations

B.M.IQBAL
 - 
Wednesday, 8 Feb 2017

Congratulation Dr. Gourav S Shetty.
You Gave a New life to a new born Baby.
We wish you all the best.

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News Network
January 23,2020

Mangaluru, Jan 23: City Police Commissioner PS Harsha on Thursday said that Aditya Rao, who had surrendered after planting a bomb at the Mangaluru International Airport, had studied how to assemble an explosive device online.

Speaking to media persons here, Dr Harsha said that 36-year-old Rao, who holds engineering and MBA degrees, had worked in the financial sector for some time, but left, after realising that white-collar jobs were not suited for him and turned towards blue-collar jobs.

He took up a job as a security guard of a reputed college in the district. He also worked at few hotels in the city before leaving for Bengaluru.

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News Network
March 28,2020

Bengaluru, Mar 28: Sun Tsu, in 'The Art of War' speaks of a skilful general who can subdue his enemy without any fighting. This constitutes the ultimate triumph which is referred to as stratagem. Today, we would need one such when we are faced with the '21-day corona challenge' for India.
Nearly four weeks back, Dr Jyothsna Rao, Dr Gururaj Rao and I sat across the OPD in the afternoon at HCG Bengaluru discussing our ongoing cancer immunology research. While on this topic, we drifted into the discussion on the coronavirus. During this engaging discussion, we wondered the similarity of the enigma between the virus and cancer. I paused to ask Dr Jyothsna and Dr Guru - how we wish we could do something against this virus.
Dr Jyothsna is a PhD from NCBS and had worked under Dr Ralph Steinman, physician and researcher from Rockefeller University, who won the Nobel Prize for his discovery of the dendritic cell and its role in adaptive immunity in 2011. Dr Gururaj is a molecular and cell biologist who did his PhD at the Chapel Hill, University of North Carolina and is the Director of iCrest.
Jyothsna while hearing our perplexing conversation on the covid intervened, "Yes, surely. I think we should take a break from cancer and focus on the innate and adaptive immunity role in COVID-19."
Thus began this sincere attempt to relook the human immune system from the eyes of the COVID-19.
We have 10 types of immune cells at the least which are widely dispersed in millions across the body. When our body is invaded by a foreign organism (bacteria, fungi or virus), these cells work with each other to destroy the invader.
Now, the question is - how do the immune cells talk to each other? They use small-molecule substances called cytokines (cyto means cells; kine means movement). There are many cytokines that are involved in work on the immune system. The most relevant for viruses are interferons.
Interferons (IFN) as the name reflects have an ability to interfere with the viral activity and stop their multiplication. These specialised signal proteins are released by our cells in response to a viral attack to forewarn other cells. They help build the antiviral proteins within the cells to kill the virus as it tries to invade the new cells.
Historically, interferons are a group of cytokines known to be potent antiviral agents against viruses and a hallmark cytokine induced by the host upon viral infections. Interferons possess unique immunoregulatory activities and are signature cytokines released by (TH1) T immune cells, which are crucial in viral infections.
As the outbreak of COVID-19 grapples us, an urgent need for finding strategies to combat the virus is growing. Coronaviruses (CoVs) are a group of RNA viruses. In patients infected with coronavirus, it was indicated that the activation of the IFN does not occur until 48 hours post-infection. Thus the delayed IFN-related antiviral response by the healthy cells leads to coronavirus evade the immune response.
Numerous studies have presented the success in defeating CoVs by the direct administration of IFNs. In a combination as a concoction, it was shown to synergistically inhibit the virus replication in vitro.
Moreover, it is understood that the earlier induction of IFNs in children although they have a less developed immune system could be the reason behind the children being least affected.
The key to success in reducing the disease fatality might be the stimulation of the immune responses to trigger IFN production at the very early stages of the disease, which might be done through the administration of IFN. Despite the evidence for the efficacy of IFNs in treating CoV-induced infections, the proper dosing and ideal timing for such interventions needs to be verified in clinical trials.
For the later stages of the diseases in advance stages where patients are on ventilator and have developed respiratory distress, we propose to utilise the mesenchymal cells derived from donor bone marrow that have been known to treat acute respiratory syndrome. Mesenchymal cells are known to possess anti-inflammatory activity and thus used often in autoimmune diseases.
With this scientific background, we have activated T cells from healthy donors, in a cGMP facility at iCrest - HCG hospital with an enriched cocktail of cytokines rich in Interferons. Injections of this cocktail we believe will result in a surge of cytokines in the body of the infected person and will boost his ability to fight the virus in the early phases. We are in the initial phases of this study and hope to be ready in the coming weeks with meaningful data on its potential utility.
Currently, it awaits government approvals (Union and state) and we have applied to central drugs authority for their initial evaluation and further directions.
As my Guru often expounded the philosophy of 'Seva' - the goal of education is knowledge, the end goal of knowledge is service. In this attempt to serve our fellow humans at this brink of unprecedented crisis, medical fraternity stands with you and promises to do our best for your safety.
We assure to exhaust every bit of our spirit in this fight against coronavirus. We have lost the sight of shores and travelled thus far, but that is the mandatory first step to cross the ocean. Are we going to succeed in this battle, is something only time will answer. 

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News Network
February 17,2020

Mangaluru, Feb 17: Kambala superstar Shrinivas Gowda, who is drawing comparisons to ace sprinter Usain Bolt, has reportedly refused to take part in athletics trials with the Sports Authority of India.

28-year-old Gowda, who hails from Moodbidri in Dakshina Kannada, was celebrated as a potential Olympian after a clip of his race went viral, amid claims that he had done 100m in 9.55 seconds, against Bolt's record of 9.58. He has so far won 32 medals in 11 kambala events this season.

Union sports minister Kiren Rijiju and SAI said Gowda would appear for trials at SAI's Bengaluru centre on Monday. The government "will do everything to identify sporting talents", Rijiju had tweeted.

"I will meet the Chief Minister. I am keen on continuing in kambala," Gowda said. Asked about the clamour for a crossover into athletics, he said, "For the time being I have no plans to appear for SAI trials. I am busy with the Kambala season and will consider meeting them following that and after consulting my well-wishers."

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